Doctor insights on:
Boxers Fracture Hand Treatment
A fracture is a broken bone. As there is cartilage at the end of many bones at the joint, a fracture may also include a break in the cartilage. Fractures and broken bones are the same thing. It seems that many believe that a "fracture" is a lesser injury or an incomplete break in the bone, but this is not correct. Fractures may be displaced or ...Read more
Maybe.: Many boxer's fractures (fractures of the small finger metacarpal neck) can be treated non-surgically. However, a period of immobilization in a splint or cast is usually necessary to allow for appropriate bone healing. For best results, consider operative intervention or immobilization. Once the fracture begins to heal, therapy exercises can be helpful to maximize hand use and strength. ...Read more
I received a boxers fracture last year. I was just curious as of why the pain flairs up when my hand gets cold?
Boxers fx: Although all boxer fractures heal, the symptom of pain upon exposure to the cold indicates you have some articular surface damage as well. So you should get it checked ...Read more
Can I still box after my fractured hand (boxers fracture) has healed by itself? I have a small lump on the right side of my right hand
Yes: Wrap it well to protect further damage The bump will decrease with time be careful how you hand the punch to avoid the fracture ...Read more
Punch a pole. My hand swelled up. I used a ice pack and its gone down and I can make a fist. I'm worried I got boxers fracture again.
Is a splint better then a cast for a 5th Metacalful boxers fracture my hole hand 4 fingers and arm in half cast and want to use index and middle finga?
Varies: If you have a distal 5th metacarpal fracture, then some variant of a "clam digger" splint or cast is applied. This involves immobilizing the 4th and 5th finger, and flexing them down an bout 70-99 degrees. There is no benefit or need to immobilize the thumb, index, or middle finger. ...Read more
Hand/wrist MD: Please see an orthopedic hand/wrist surgeon, who can evaluate you, and provide the proper treatment. ...Read more
Hit cement floor with palm moveable painful knot where knuckle "was" it hurts to clench a fist and pick anything up. Is this boxers fracture?
Could be: Get an X-ray and see a hand specialist at your age it can involve the growth plate ...Read more
I punched a hard object and my pinkys knuckle got swollen. I am able to move it all the way down but not all the way up. Possibly a boxers fracture?
Hand fracture in the: 5th metacarpal knuckle or neck is often called a boxer's fracture (but real boxers know better) pain, swelling decreased motion are all signs that a fracture may be present. An evaluation and xrays are the next step. Most 5th mc neck fractures heal uneventfully but proper care makes it go a lot easier. Treatment specifics depend upon exam and xray finding details, . ...Read more
I'm 4 and a half weeks into wearing my splint for boxers fracture on 5th metacarp. Still a lot of stiffness and don't see a knuckle really. Normal?
Normal: Your fracture has shortened and has shifted. I would start immediate motion and stretching. If you don't see good improvement in the next 3-4 weeks with your motion, I would see a hand therapist. Unfortunately, your loss of the prominence of the 5th metacarpal head will be permanent. ...Read more
Hand therapy: Hand therapy is sometimes required after a boxers fracture to maximize range of motion and function. ...Read more
What's wrong with my pinky knuckle? How do I pop it back in place? I had just recovered from a boxers fracture on my 5th metacarpol head and when I took off the splint their was no knuckle to be found. When I close my fist and try to open it all the way m
Typically angulate the head of the metacarpal (the "knuckle") toward the palm. If not reduced, it may heal in that position. Some angulation like that is ok, but if too angulated the finger will tend to collapse in a zig zag fashion. See a hand surgeon, get an xray, find out if further treatment is needed.
Good luck! ...Read more
Yes: But you will need to avoid anything putting pressure on the knuckle until after it has completely healed (6 or more weeks depending on the type of fracture) ...Read more
I punched a wall and I have a boxers fracture in my ring knuckle. 5 days later I notice a red stripe going up my middle finger. I don't have a cast?
I got a boxers fracture. The doctors couldn't set my bone back in place. (5th meta) I have a huge bump on my knuckle. Is surgery needed? My xray ↓
Boxer's Fracture: Unfortunately we can't see your X-ray on the free part of health tap. Up to a 30 degree angulation is acceptable in the 5th digit before surgery will be done. This is unless you are a professional athlete or something similar. If it were my hand I would personally make an appointment at a hand surgeon and see if they will do anything, catch my drift. ...Read more
Boxers fracture: Treatment depends on the nature of the fracture and the stability. In instances of stable fractures, a minimum of a splint is generally recommended for at least 3 weeks and more commonly 6 weeks. For unstable fractures with shortening, rotation, mal-alignment, displacement, etc, reduction (alignment) and fixation (pins, wires, screws, plates, etc) with casting may be required. ...Read more
Causes pain...: "boxer's" fracture (5th metacarpal neck fxs.)are extremely common. They obviously cause pain and usually deformity. Treatment is generally closed reduction/splinting or casting. If, after reduction, angulation is still> 30degrees or malrotation is present. Percutaneous pinning is tx. (this is unusual).'real' boxers fracture the 2nd metacarpal neck more often than "sat night" sluggers! Gl! ...Read more
Immobilize: You should see your md and get a referral to an orthopedist. Some 'boxer's' fractures require reduction of the fracture, followed by 4-6 wks of splinting (ulnar gutter) or casting. Untreated 5th metacarpal neck fractures can lead to malangulation/ malrotation deformities of the pinkie finger (uncommon) and loss of the 'knuckle' prominence (more common). Best of luck! ...Read more
Boxers fracture: A true boxers fracture refers to an index finger knuckle region fracture. Commonly a fracture of the little finges is also called a boxers fracture. It should be referred to as a street fighters fracture owing to the poor technique of punching. In either case an unhealed fracture should be protected. Further injury may damage the bone and affect hand function leading to the need for surgery. ...Read more
Boxers fracture about 3 weeks ago and was put in a splint I can take off. My finger has no motion. Will it always be like that?
Therapy will help: Immobilization with a splint is required for fracture healing, but once adequate healing occurs (minimal tenderness at fracture site is often best indicator of healing), motion to regain full function is necessary. Occupational therapy may be indicated if early progress is not noted. Speak with your treating orthopaedic surgeon to discuss your concerns. ...Read more
Had boxers fracture in splint for 14 days. Can I take off splint and buddy splint and wrap my metacarpal bones 2-5 in self adherent wrap?
Depends on healing: I do allow buddy taping of the 5th and 4th fingers for a 5th metacarpal fracture once the fracture has stabilized. Fracture stability is indicated by lack of new displacement and angulation plus the presence of new bone on the x-rays, indicating healing. ...Read more
Boxers fracture: Refers to a fracture at the knuckle end of the fifth finger, i.E metacarpal. This is typically sustained after a blunt trauma as in punching/boxing (albeit with poor form), ergo the name. Treatment consists of x-rays and an attempt at manipulating the fracture into place and holding it that way. Occasionally it is too angled or won't hold and a temporary pin is placed. Otherwise, a splint will do. ...Read more
No: By definition this is a fracture of a metacarpal, a bone in the hand. However a very similar fracture can occur to the comparable metatarsal bone in the foot. Its just not called a "boxer's" fracture by name in the foot. ...Read more
I have a boxers fracture and the orthopedic surgeon said to put ice on it occasionally but cold hurts it worse. Why does putting cold on it hurt?
Weight of ice?: Ice shouldn't hurt. Maybe weight of ice packs on fracture is painful. Maybe you left ice on too long (20minutes max.) ...Read more
Had a boxers fracture and now have a bony lump (most likely callous) at the fracture site. When will it go away or reduce in size?
Might not: Alot of boxer fx's are angulated and heal with a deformity or bump. Bottom line is that it should not effect function. Mainly cosmetic, should not be functional ...Read more
I got a boxers fracture 2 days ago, my cast is uncomfortable. What would happen if I don't leave it on?
Fx. Could displace: If you remove your cast or splint after sustaining a 5 th metacarpal neck fx. (boxers' fx.) you increase the chances of the fracture (re)- displacing (coming out of place).Most of these fractures are treated non operatively w/ closed reduction (jahss' maneuver) and splint/ cast. Follow your doctors' instructions. If the cast or splint is 'too tight' or causing inc. Pain, contact his office/ er. ...Read more
Is it broken or fractured is a question I am often asked. The answer is basically that a broken or fractured bone is the same thing. A fracture means a break in the cortex or the strong layer of outer bone cells. In an adult the average time for that to heal varies greatly but is often considered to ...Read more